CPT Codes for Vaginal Delivery | |
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59400 | Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy and/or forceps) and postpartum care |
59409 | Vaginal delivery only (with or without episiotomy and/or forceps); |
Pregnancy care for patient with recurrent pregnancy loss, third trimester 1 O26.23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Preg care for patient w recurrent preg loss, third trimester 3 The 2021 edition of ICD-10-CM O26.23 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of O26.23 - other international versions of ICD-10 O26.23 may differ.
O26.23 is applicable to mothers in the third trimester of pregnancy, which is defined as between equal to or greater than 28 weeks since the first day of the last menstrual period. The following code (s) above O26.23 contain annotation back-references. Annotation Back-References.
The 2022 edition of ICD-10-CM O26.23 became effective on October 1, 2021.
Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days. 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days. 3rd trimester- 28 weeks 0 days until delivery. Type 1 Excludes. supervision of normal pregnancy ( Z34.-)
ICD Code O26 is a non-billable code. To code a diagnosis of this type, you must use one of the ten child codes of O26 that describes the diagnosis 'maternal care for oth conditions predom related to pregnancy' in more detail. O26 Maternal care for other conditions predominantly related to pregnancy.
O26. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code O26 is a non-billable code. To code a diagnosis of this type, you must use one of the ten child codes of O26 that describes the diagnosis 'maternal care ...
The Pregnancy ICD 10 code belong to the Chapter 15 – Pregnancy, Childbirth, and the Puerperium of the ICD-10-CM and these codes take sequencing priority over all the other chapter codes.
Complications following (induced) termination of pregnancy (Code range- O04.5 – O04.89) – This includes the complications followed by abortions that are induced intentionally.
Pre-existing hypertension complicating pregnancy, childbirth and the puerperium (Code range- O10.011-O10.93) – A pregnancy complication arising due to the patient being hypertensive, having proteinuria (increased levels of protein in urine), hypertensive heart disease, hypertensive CKD or both prior to the pregnancy.
A high-risk pregnancy is a threat to the health and the life of the mother and the fetus.
Hydatidiform mole (Code range- O01.0 – O01.9) – Also known as molar pregnancy is an abnormal fertilized egg or a non-cancerous tumor of the placental tissue which mimics a normal pregnancy initially but later leads to vaginal bleeding along with severe nausea and vomiting.
Ectopic pregnancy (Code range- O00.00 – O00.91) – This is a potentially life-threatening condition in which the fertilize egg is implanted outside the uterus, usually in one of the fallopian tubes or occasionally in the abdomen or ovaries.
If the provider has documented that the pregnancy is incidental to the visit, which means that the reason for the visit was not pregnancy related and the provider did not care for the pregnancy, the code to be used is Z33.1, Pregnant state, incidental and not the chapter 15 codes.
Add R09.02, Hypoxemia, as the patient became hypoxemic during the ESWL procedure and it had to be aborted. Recommendation stands per final decision from coder. Reference coding clinic about mucous plugging that states to code pneumonia and hypoxia separately Add R09.02, Hypoxemia, per documentation in the Discharge and H and P of hypoxia requiring supplemental oxygen
Additional signs and symptoms that may not be associated routinely with a disease process should be coded when present
Add R78.81, Bacteremia per documentation that patient has E.coli in blood culture due to UTI. No mention of sepsis. No clinical indicators to suggest sepsis.
Yes, it is appropriate to assign code 799.02, Hypox emia, as an additional diagnosis when it is present with pneumonia. Hypoxemia is not inherent in pneumonia. Hypoxemia indicates deficient oxygenation of the blood. If severe, it can be life threatening. Causes of hypoxemia include, but are not limited to severe pneumonia, congestive heart failure, chronic obstructive pulmonary disease, pulmonary embolism and pulmonary fibrosis. Shortness of breath is typically the chief symptom of hypoxemia. The underlying cause of the hypoxemia determines the treatment course.
LeukocytosisRecommend dele ting secondary dx D72829, Leukocytosis as this is a sign/symptom of infection including septic joint/cellulitis and would not be captured separately
Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the Classification
CT HeadDelete I672 Cerebral atherosclerosis based on documentation is only in the CT head. There is no clinical significance identified by the physician. REF: OCG Section III.B Reporting Additional Diagnoses